Individual provider · Type 1 NPI

Courtney Kaczmarek, PA-C

Physician Assistant · Wintersville, OH

NPI number 1104720762 Active

Practice location

148 Main St
Wintersville, OH 43953-3734

Call (740) 346-2702 Map

Mailing address

130 Marie Ave
Weirton, WV 26062-2936

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104720762

Courtney Kaczmarek, PA-C's National Provider Identifier is 1104720762, issued on Oct 6, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wintersville, OH. The record was last updated on Oct 6, 2026.